MEDICARE: DR. GOZDE DEMIRALP M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	74014	WI
2	207L00000X	Anesthesiology Physician	74014	WI
3	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	56293	OK

General Provider Information

NPI Number	:	1972795383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GOZDE DEMIRALP M.D.

Provider Business Mailing Address
First Line	:	7974 UW HEALTH CT
Second Line	:
City	:	MIDDLETON
State	:	WI
Zip	:	53562-5531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 HIGHLAND AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53792-0002
Country	:	US
Telephone Number	:	608-263-8100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	02/03/2021

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